Amateur Boxer – Registrations
Amateur Boxer – Registrations
Event Details
06 – Bengaluru, Creed Boxing Promotions
Participant Information
Boxer Full Name
*
Boxer Full Name
First Name
First Name
Last Name
Last Name
Enter the full legal name of the participant.
Preferred Contact Method
*
Phone
Email
Both
Boxer Email Address
*
Enter the email address for event updates and information.
Boxer Contact Number
*
Enter a contact number to receive event-related notifications.
Date of Birth
*
Enter your date of birth to ensure age-appropriate participation.
Gender
*
Male
Female
Select your gender for statistical and grouping purposes.
Participation Type
*
Amateur Boxing
This form is only for Amateur Boxing Participation
Emergency Contact Information
Emergency Contact’s Full Name
*
Emergency Contact's Full Name
First Name
First Name
Last Name
Last Name
Enter the full name of your emergency contact person.
Emergency Contact’s Phone Number
*
Enter a phone number for your emergency contact. This should be someone who can be reached during the event.
Emergency Contact’s Email Address
Enter the email address for your emergency contact. This should be someone who can be reached during the event.
Relationship to Participant
*
Parent
Spouse
Sibling
Friend
Relative
Select the relationship of the emergency contact to you.
Health and Safety
Medical Conditions
*
Asthma
Hypertension
Diabetes
Heart Disease
Allergies
Head Injuries/ Concussions
Eye Sight Injuries
None
Select any medical conditions that apply to you for safety purposes.
Medical Conditions Details
Provide details of any medical conditions or allergies in this section. This information is vital for safety purposes.
Aadhar Card/ Passport (Front + Back)
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Blood Tests (With QR Code)
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Mandatory Tests With QR Code Only HIV, HCV (Hepatitis C), Hbs Ag (Hepatitis B)
Photo – Head Shot
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Only Headshot – Please Do not Put on a Cap/ Eyewear. Do not pose in Boxing Stance or Lift your Hands in any way
Terms and Agreements
Terms Agreement and Disclaimer Notice
*
I agree to the terms and conditions including the use of my photos in marketing
Boxer understands by participating in a contest or exhibition of boxing, that the Boxer is engaging in an abnormally dangerous activity. The Boxer further understands that this participation subjects the Boxer to a risk of severe injury or death. The Boxer, with full knowledge of this risk, nonetheless, agrees to enter into this agreement and hereby waives any claim that the Boxer or Boxer’s heirs may have against the IBC as the result of any injury the Boxer may suffer as a result of Boxer’s participation in any contest or exhibition of boxing.
Participant Signature
*
Submit
If you are human, leave this field blank.
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